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We assessed whether individuals could purchase penicillins, macrolides, fluoroquinolones, and cephalosporins, because the availability of multiple classes of antibiotics would affect additional selective pressure in the community. Thus, as soon as patients receive over-the-counter antibiotics and self-treating self-limiting illnesses with drugs, such as upper-respiratory tract infections without complications, they are likely to suggest that the antibiotic was effective, and self-medicate in the future. Fifth, we estimated the expected delivery time to take antibiotics. Specifically, we classified a single course of azithromycin as 6 pills, 250 mg each. Our study suggests that the opposite might be the case. All these obstacles cause the illegal acquisition of antibiotics by patients. The extended delay between diagnosis and treatment receipt has consequences for resolving self-limiting conditions and storing unused treatment. Fourth, we have limited our count to English language websites. Even with these strategies, however, it was difficult to know whether one corporation still owns and manages several locations. In addition, the ability of Internet-based companies to exist without an identifiable physical location or property makes the location and writing of FDA instructions extremely difficult. Several studies suggest that antibiotic prescribing for viral illnesses, respiratory tract infections being one example, has declined in the last decade. The links to these advertised sites were also investigated. First, although all of the included providers would sell antibiotics without a prescription, we assessed whether the supplier would sell antibiotics without any form of prescription or whether a prescription created for the purchase based on the completion of an online medical history was required. If those who are self-medicating are taught that they put their own health at risk, they may be less likely to use these online pharmacies. We therefore wanted to find out if the amount of time between online evaluation and getting treatment was significantly longer. In addition, the available quantities and the interval between prescribing and receiving treatment suggest that these transactions will likely be used by people storing drugs for future self-diagnosis and treatment, or for sale.